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基于社区的孕产妇护理的共享学习。

Shared learning for community based maternity care.

作者信息

Alexander J, Smith L, Hogston R

机构信息

University of Portsmouth, St Mary's Hospital, UK.

出版信息

Nurse Educ Today. 1998 Aug;18(6):429-32. doi: 10.1016/s0260-6917(98)80166-4.

Abstract

In order to ensure the best quality of maternity care midwives and doctors must work closely together but unfortunately the necessary interdisciplinary cooperation and respect has not always been present. This paper suggests that the benefits claimed for interprofessional education, which remain largely untested in maternity care, are being put forward as a panacea for earlier difficulties. It outlines some of the initiatives currently taking place. Material ripe for shared learning is identified and it is suggested that shared teaching in addition to shared learning for midwifery and medical students and for midwives and doctors should be the norm. Learners may then eventually provide shared care based on both their shared learning experiences and also on the role model of shared teaching. Such a major change would require considerable political will, including a shift in funding. There is some evidence that the necessary political will is developing and this may be given more emphasis by the need for teaching to follow care as the NHS becomes more primary-care led.

摘要

为确保提供最佳的产妇护理质量,助产士和医生必须密切合作,但遗憾的是,必要的跨学科合作与尊重并非一直存在。本文指出,在产妇护理领域基本未经检验的跨专业教育所宣称的益处,正被当作解决早期难题的万灵药提出来。文中概述了当前正在开展的一些举措。确定了适合共同学习的素材,并建议除了助产专业和医学专业的学生以及助产士和医生进行共同学习外,共同教学也应成为常态。学习者最终或许能够基于他们共同的学习经历以及共同教学的榜样提供联合护理。这样一项重大变革需要相当大的政治意愿,包括资金投入的转变。有证据表明必要的政治意愿正在形成,随着国民医疗服务体系(NHS)越来越以初级保健为主导,教学需紧跟护理需求,这一点可能会得到更多强调。

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